{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:01:08Z","timestamp":1747184468333,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background: Large atrial septal defects (ASDs) in children cause increased volume overload of the right side of the heart which in turn lead to impairment of left ventricular (LV) performance. Aim: The aim of this study was to evaluate immediate LV rotational deformation changes in children with large ASDs post\u2010device closure and removal of right ventricle (RV) volume overload. Patients and Methods: Twenty children who underwent transcatheter closure (TCC) of large secundum ASDs were included in the study. LV rotational deformation was assessed pre\u2010 and 24\u00a0hours post\u2010device closure using speckle tracking imaging (STI). Results: 55% were females with mean age 6.1\u00a0\u00b1\u00a03.5\u00a0years. LV peak basal clockwise rotation improved significantly (\u22126.9\u00a0\u00b1\u00a02.6\u00b0 before vs \u221210.3\u00a0\u00b1\u00a04.1\u00b0 after TCC, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.005), and time to peak clockwise rotation (345.1\u00a0\u00b1\u00a0124.7 milliseconds (ms) before vs 282.2\u00a0\u00b1\u00a082.9\u00a0ms after closure, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.02). There was no significant difference in apical rotational parameters including peak counterclockwise rotation (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.05 for both). LV twist (11.3\u00a0\u00b1\u00a03.8\u00b0 before vs 17.5\u00a0\u00b1\u00a07.1\u00b0 after closure, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001) and torsion (2.1\u00a0\u00b1\u00a00.7\u00b0\/cm before vs 3.1\u00a0\u00b1\u00a01.2\u00b0\/cm after closure, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.01) were significantly improved, mainly as the result of improvement of LV basal rotation. LV revealed a significant increase in LV end\u2010diastolic volumes (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.02) 24\u00a0hour after TCC with no significant change (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.05) in end\u2010systolic volumes after closure. Conclusion: Increased peak LV twisting and torsion were attributed to the improved peak systolic clockwise basal rotation after TCC of large ASDs in children.<\/jats:p>","DOI":"10.1111\/echo.14755","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T08:08:37Z","timestamp":1592381317000},"page":"1065-1071","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Left ventricular rotational deformation changes by speckle tracking imaging before and 24\u00a0hours after transcatheter closure of large secundum atrial septal defects in children"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8275-8090","authenticated-orcid":false,"given":"Amal Mahmoud","family":"El\u2010Sisi","sequence":"first","affiliation":[{"name":"Cairo University Specialized Children Hospital  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abd El\u2010Moneam Ahmed Mohammed","family":"Gabr","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Abdellatif","family":"Afia","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan Saad","family":"Abu\u2010Seif","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hala M.","family":"Agha","sequence":"additional","affiliation":[{"name":"Cairo University Specialized Children Hospital  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9655-6067","authenticated-orcid":false,"given":"Tarek kotb","family":"AlSayad","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2005.02.051"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2013.07.020"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10700"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25700"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24873"},{"issue":"3","key":"e_1_2_6_7_1","first-page":"250","article-title":"Remodeling process in right and left ventricle after percutaneous atrial septal defect closure in adult patients","volume":"43","author":"Balci K","year":"2015","journal-title":"T\u00fcrkKardiyol Dern Ar\u015f \u2010 Arch Turk Soc 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